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Sample EDI 834 Data for the Benefit Enrollment And Maintenance Transaction Set
| Agency | Set ID | FG | Trans Desc | Committee |
| ANSI | 834 | BE | Benefit Enrollment And Maintenance | Insurance |
EDI 834 Main Page Online EDI 834 Translation Need Help?
Research and Development:
Below is a sample EDI 834 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 834 (Benefit Enrollment And Maintenance) document into a CSV file. You can also gain knowledge by researching all EDI Document Types. Jobisez LLC can also provide assistance if you need additional help.
Sample of an EDI 834 Transaction Set
| Entire Segment |
| ST*834*12345*005010X220A1 |
| BGN*00*12456*19980520*1200****2 |
| N1*P5**FI*999888777 |
| N1*IN**FI*654456654 |
| INS*Y*18*021*20*A***FT |
| REF*0F*123456789 |
| REF*1L*123456001 |
| DTP*356*D8*19960523 |
| NM1*IL*1*DOE*JOHN*P***34*123456789 |
| PER*IP**HP*7172343334*WP*7172341240 |
| N3*100 MARKET ST*APT 3G |
| N4*CAMP HILL*PA*17011**CY*CUMBERLAND |
| DMG*D8*19400816*M |
| HD*021**HLT |
| DTP*348*D8*19960601 |
| COB*P*890111*5 |
| HD*021**DEN |
| DTP*348*D8*19960601 |
| HD*021**VIS |
| DTP*348*D8*19960601 |
| SE*21*12345 |
Solutions:
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